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New Jersey rates for HCPCS V2522

Contact Lens Hydrophillic Bifocal Per Lens (Special Coverage Instructions Apply. See Cim: 45-7 65-1)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.39 / $168.98 / $202.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.92 / $311.06 / $381.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.43 / $230.43 / $230.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $141.08 / $169.67